Individual provider Active NPI

Kimberly Marie Keeks

  • Psychiatric/Mental Health Nurse Practitioner
  • Laconia, NH
National Provider Identifier
1124735097
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
085852-23 Issued in NH
Practice address
51 Elm St Ste 107
Laconia, NH 03246-2415
Phone
(603) 583-4056
Fax
(603) 664-4648
NPI assigned
Nov 1, 2022
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 085852-23 NH Primary

Addresses

Primary practice location

51 Elm St Ste 107
Laconia, NH 03246-2415

Mailing address

51 Elm St Ste 107
Laconia, NH 03246-2415
Phone (603) 583-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006000974 MA Practitioner - Nurse Practitioner 3678928918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Health Care IncGroup PAC ID 0244218360, 10 clinicians

Practice addresses (Care Compare)

1600 Providence Hwy
Suite 167
Walpole, MA 02081-2553
Phone (508) 660-7949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085852-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Healthcare Inc Single Specialty CurrentSince Aug 13, 2023 Accepting new patients

Locations

1600 Providence Hwy
#167
Walpole, MA 02081
Phone (508) 660-7949

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1124735097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ELM ST STE 107",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462415",
            "telephone_number": "603-583-4056",
            "fax_number": "603-664-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ELM ST STE 107",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462415",
            "telephone_number": "603-583-4056",
            "fax_number": "603-664-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEKS",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "085852-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.